Clinical Medicine (Russian Journal)最新文献_第7页

P.F. Lesgaft as the founder of the development of functional anatomy 功能解剖学发展的奠基人 P.F. Lesgaft

Clinical Medicine (Russian Journal) Pub Date : 2023-12-13 DOI: 10.30629/0023-2149-2023-101-11-590-596

I. A. Merkushev, V. G. Abashin

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Features of diagnosis and treatment of newly diagnosed atrial fibrillation 新诊断心房颤动的诊断和治疗特点

Clinical Medicine (Russian Journal) Pub Date : 2023-12-13 DOI: 10.30629/0023-2149-2023-101-11-549-555

S. O. Lependin, M. B. Patsenko, S. E. Surigina, N. V. Morozova, V. Steklov

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Patient attitude towards disease as a predictor of its course and outcome 病人对疾病的态度可预测病程和结果

Clinical Medicine (Russian Journal) Pub Date : 2023-12-13 DOI: 10.30629/0023-2149-2023-101-11-538-548

E. A. Zakharyan, E. V. Cherniy

{"title":"Patient attitude towards disease as a predictor of its course and outcome","authors":"E. A. Zakharyan, E. V. Cherniy","doi":"10.30629/0023-2149-2023-101-11-538-548","DOIUrl":"https://doi.org/10.30629/0023-2149-2023-101-11-538-548","url":null,"abstract":"According to a significant amount of scientific research, it is known that the deterioration of public health and the tendency towards certain types of disease cannot be explained only by conventional factors. It has been proven that a patient’s attitude towards their disease determines their response to the pathology and their adaptation to their new condition. The aim of this work is to analyze research, views, and beliefs of doctors and psychologists on the influence of a patient’s perception of their own illness and their attitude towards it on the course of the disease. This review presents an analysis of numerous scientific works aimed at identifying types of attitudes towards disease that are characteristic of various nosological forms, both mental and somatic. As a result of the literature analysis, a set of conditions and factors that determine the nature and intensity of the influence of attitudes towards disease on its course and outcome were identified. These include the volume and nature of information about a specific disease, which is understood by the patient according to their intellectual and psychological readiness to perceive and interpret it; the way in which a doctor provides information about the course of the disease, possible outcomes, and planned treatment methods; age and gender; the nature and severity of the disease itself, as well as the mental health of patients.","PeriodicalId":10439,"journal":{"name":"Clinical Medicine (Russian Journal)","volume":"15 S1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139004908","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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Features of external respiration in individuals using various methods of psychoactive substance consumption 使用各种方法服用精神药物的人的体外呼吸特点

Clinical Medicine (Russian Journal) Pub Date : 2023-12-13 DOI: 10.30629/0023-2149-2023-101-11-566-568

G. R. Urunova

{"title":"Features of external respiration in individuals using various methods of psychoactive substance consumption","authors":"G. R. Urunova","doi":"10.30629/0023-2149-2023-101-11-566-568","DOIUrl":"https://doi.org/10.30629/0023-2149-2023-101-11-566-568","url":null,"abstract":"The study of the influence of inhalation psychoactive substances (PAS) on the respiratory system is an important issue, given the speed and trend of the spread of various inhalation devices. Hookah is a device for smoking tobacco, the essence of which is the passage of tobacco smoke through a container with water or other liquids (milk, alcohol). The study was conducted among students of the Northern (Arctic) Federal University named after M.V. Lomonosov (SAFU), and the population permanently residing in the city of Arkhangelsk. The study was conducted from 2020 to 2022. The aim of this article is to compare the indicators of external respiration in individuals using PAS in different ways. Material and methods. External respiration was assessed by spirometry. Spirometry is a fairly simple, non-invasive and informative method for measuring airflows and volumes. The article presents an analysis of spirometry data from 155 people. Group I included individuals not using tobacco products, Group II included cigarette smokers only, and Group III included individuals using tobacco with a hookah. Results. Volume indicators (FVC, FEV1) in Group I were significantly higher than in representatives of Groups II and III (p > 0.01); Also, in Group I, speed indicators were significantly higher. A significant decrease in the FEV indicator was found in Group III compared to Group II (p > 0.01). Also, members of Groups II and III had a significant decrease in speed indicators compared to Group I.","PeriodicalId":10439,"journal":{"name":"Clinical Medicine (Russian Journal)","volume":"251 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139005931","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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TAFI phenomenon and its clinical significance TAFI 现象及其临床意义

Clinical Medicine (Russian Journal) Pub Date : 2023-12-12 DOI: 10.30629/0023-2149-2023-101-11-521-524

I. N. Bokarev, A. P. Melnikov, S. I. Burykh

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Primary hyperaldosteronism: the choice in favor of conservative surgery 原发性醛固酮过多症：选择保守手术

Clinical Medicine (Russian Journal) Pub Date : 2023-12-12 DOI: 10.30629/0023-2149-2023-101-11-525-530

M. S. Annayev, K. Stegniy, B. Geltser, R. Goncharuk, A. M. Morozova, E. V. Maslyantsev

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Epidemiology of iron deﬁciency in Russia: serum ferritin values depending on sex and age 俄罗斯缺铁的流行病学:血清铁蛋白值取决于性别和年龄

Clinical Medicine (Russian Journal) Pub Date : 2023-07-21 DOI: 10.30629/0023-2149-2023-101-6-308-314

N. Stuklov, M. S. Kovalchuk, A. Gurkina, N. D. Kislyу

{"title":"Epidemiology of iron deﬁciency in Russia: serum ferritin values depending on sex and age","authors":"N. Stuklov, M. S. Kovalchuk, A. Gurkina, N. D. Kislyу","doi":"10.30629/0023-2149-2023-101-6-308-314","DOIUrl":"https://doi.org/10.30629/0023-2149-2023-101-6-308-314","url":null,"abstract":"The high prevalence of iron deficiency (ID) in women and its important negative impact on the health care system is beyond doubt. The presence of severe problems of a systemic nature requires the development of special state programs to combat ID. The development of such programs is impossible without conducting epidemiological studies in each specific country. The purpose of this work is to determine the frequency and severity of ID in terms of serum ferritin (SF) in primary outpatients, depending on gender and age. The study was conducted in 15 large cities of Russia, in total, 1737 primary patients were included, of which 97 were males and 1640 were females. When studying the parameters of SF in general groups, its values are significantly lower in females, and average 40 ± 99 μg/l, while 61% of this cohort of patients have SF less than 30 μg/l, and 70% live in conditions of SF below target values, which requires the development of preventive programs to combat ID among female patients. Between the ages of 16 and 49, almost all females live in conditions of absolute ID, and it is probably in this group that the above activities should be carried out. On the contrary, as regards male patients, judging by the data obtained, a mandatory determination of SF is required to make a decision on conducting ferrotherapy.","PeriodicalId":10439,"journal":{"name":"Clinical Medicine (Russian Journal)","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78231331","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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Hemodynamic eﬀects of antihypertensive therapy in patients with hypertension and rheumatoid arthritis comorbidity 降压治疗对高血压合并类风湿关节炎患者血流动力学的影响

Clinical Medicine (Russian Journal) Pub Date : 2023-07-21 DOI: 10.30629/0023-2149-2023-101-6-293-300

N. A. Samorodskaya, L. N. Eliseeva

{"title":"Hemodynamic eﬀects of antihypertensive therapy in patients with hypertension and rheumatoid arthritis comorbidity","authors":"N. A. Samorodskaya, L. N. Eliseeva","doi":"10.30629/0023-2149-2023-101-6-293-300","DOIUrl":"https://doi.org/10.30629/0023-2149-2023-101-6-293-300","url":null,"abstract":"Research objective. Evaluation of the influence of 6-month antihypertensive therapy with drugs of diﬀerent classes on hemodynamic parameters of the circulatory system in patients with comorbid hypertension and rheumatoid arthritis. Materials and methods. Patients who met age criteria (58.6 ± 6.4 years), duration of hypertension (11.2 ± 1.6 years), onset (aged 45–64 years), and duration (7.2 ± 2.1 years) of rheumatoid arthritis were divided into groups: Group I (136 men, 141 women) — 277 patients with stage II hypertension; Group II (28 men, 114 women) — 142 patients with stage II hypertension and rheumatoid arthritis (in clinical-laboratory remission); Group III (20 men, 92 women) — 112 patients with stage II hypertension and rheumatoid arthritis (in clinical-laboratory exacerbation). Antihypertensive monotherapy was prescribed by polyclinic doctors: nebivolol, lisinopril, losartan, amlodipine, indapamide, and a combination of lisinopril and indapamide. Observation was carried out for 6 months. Results. The influence of antihypertensive therapy (6 months) on hemodynamic parameters of the circulatory system in patients of groups I and II was presented by positive dynamics of morphometric and speed parameters, while in group III patients the indicators were less significant and more distant. Conclusion. The presence of rheumatoid arthritis introduces additional changes in the dynamics of hemodynamic eﬀects of prescribed antihypertensive therapy and is determined by the degree of disease activity and adequacy of basic anti-inflammatory therapy.","PeriodicalId":10439,"journal":{"name":"Clinical Medicine (Russian Journal)","volume":"35 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74019578","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Diagnosis and treatment of external hemorrhoids on an outpatient basis 门诊外痔的诊断和治疗

Clinical Medicine (Russian Journal) Pub Date : 2023-07-21 DOI: 10.30629/0023-2149-2023-101-6-301-307

A. L. Lomonosov, A. Golubev, M. Kukanova, A. A. Khomenchuk, A. H. Khushakov, G. D. Lomonosov

{"title":"Diagnosis and treatment of external hemorrhoids on an outpatient basis","authors":"A. L. Lomonosov, A. Golubev, M. Kukanova, A. A. Khomenchuk, A. H. Khushakov, G. D. Lomonosov","doi":"10.30629/0023-2149-2023-101-6-301-307","DOIUrl":"https://doi.org/10.30629/0023-2149-2023-101-6-301-307","url":null,"abstract":"There are many variants of acute external hemorrhoids (AEH), with varying degrees of its development. The purpose of the study is to study the features of diagnosis and treatment of outpatient patients with AEH in the form of ovoid (AEH–FO). Material and methods. A solid sample, a retrospective sequential study of the data of 97 outpatient patients with AEH–FO. AEH–FO of the first degree (AEH–FO 1) was detected in 57,7% of patients, the node was more often elastic, blue in color, AEH–FO of the second degree (AEH–FO 2) in 42,3% of patients, wound necrosis on the node, the discharge of blood from it. In 32,7% of patients treated on average after 4 days, the average pain on the visual pain scale (VPS) was 6 points. Conservative treatment was carried out in all patients with AEH–FO with the appointment of MOFF (90% diosmin and 10% hesparin flavides. When bleeding from the node, tranexam, psyllium, lactulose, macrogol were prescribed for constipation. Analgesia was performed depending on the intensity of the pain. Only 3,1% of patients were operated on before 2018. Conclusions. The treatment of patients with AEH–FO was eﬀective. In the average treatment period of 14 days, all patients recovered and were able to work.","PeriodicalId":10439,"journal":{"name":"Clinical Medicine (Russian Journal)","volume":"281 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86387261","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Dynamic assessment of the filtration function of the kidneys and indicators of muscle mass in patients with sarcopenia and chronic heart failure 肌肉减少和慢性心力衰竭患者肾脏滤过功能和肌肉质量指标的动态评估

Clinical Medicine (Russian Journal) Pub Date : 2023-07-21 DOI: 10.30629/0023-2149-2023-101-6-286-292

N. Gulyaev, A. Adamov, I. M. Akhmetshin, A. A. Prokhorchik, V. I. Baksheev

{"title":"Dynamic assessment of the filtration function of the kidneys and indicators of muscle mass in patients with sarcopenia and chronic heart failure","authors":"N. Gulyaev, A. Adamov, I. M. Akhmetshin, A. A. Prokhorchik, V. I. Baksheev","doi":"10.30629/0023-2149-2023-101-6-286-292","DOIUrl":"https://doi.org/10.30629/0023-2149-2023-101-6-286-292","url":null,"abstract":"Currently, due to the increase in life expectancy in the human population, the relevance of the problem of sarcopenia and chronic somatic pathology, including chronic heart failure (CHF), is increasing. At the same time, there are no clear recommendations for managing patients with a combination of CHF and sarcopenia. In addition, the impact of sarcopenia in combination with CHF on kidney filtration function remains poorly understood. The aim of the study was to evaluate the dynamics of muscle mass and strength, kidney filtration function in patients with sarcopenia and CHF in a longitudinal study involving 53 male patients with a mean age of 75.2 ± 7.3 years. The first (main) group (n = 24) consisted of patients with CHF and sarcopenia, while the second comparison group (n = 29) included patients with CHF without sarcopenia. The results showed that patients in the main group had a more pronounced decrease in muscle mass and strength over time, glomerular filtration rate (GFR), calculated using CKD-EPI formulas, based on cystatin C (CKD-EPICysC) and cystatin-creatinine (CKD-EPICysC+Cr) levels. In the comparison group, a more significant decrease in GFR, calculated using creatinine, was observed. It is emphasized that for more accurate determination of GFR in patients with CHF and accompanying sarcopenia, it is advisable to use the CKD-EPICysC formula. Future controlled randomized studies will determine the possibility of including this recommendation in appropriate protocols for managing elderly patients.","PeriodicalId":10439,"journal":{"name":"Clinical Medicine (Russian Journal)","volume":"330 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73860379","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0